EMT Chapter 27 and 28: Face, Neck, Head, and Spine Injuries Quiz.
The MOST significant complication associated with facial injuries is: - Damage to the eyes - Airway compromise - Mandibular immobility - Cervical spine injury
Airway compromise
The central nervous system (CNS) is composed of the:
Brain and spinal cord
Injury to the head and neck may indicate injury to the:
Cervical spine
The five sections of the spinal column is descending order, are the:
Cervical, thoracic, lumbar, sacral, and coccygeal
When performing a full body scan, you should assess for _______
DCAP-BTLS (Deformities, Contusions, Abrasions, Penetrations/Punctures, Burns, Tenderness, Lacerations, Swelling)
A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mm Hg, a pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should:
Fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport
You are assessing a 59-year-old male and note that his pupils are unequal. He is conscious and alert. When obtaining his medical history, it is MOST pertinent to ask him if he:
Has a history of eye surgeries
In contrast to a cerebral concussion, a cerebral contusion:
Involves a physical injury to the brain tissue
A factory worker was splashed in the eyes with a strong acid chemical. He complains of intense pain and blurred vision. Your ambulance does not carry bottles of sterile of water. You should:
Irrigate both eyes continuously for 20 mins with plain water
Once a cervical collar has been applied to a patient with a possible spinal injury , it should not be removed unless
It causes problems with managing the airway
A tight-fitting motorcycle helmet should be left in place unless: - The patient must be placed onto a long backboard - The helmet is equipped with a full face shield or visor - It interferes with your assessment of the airway - The patient complains of serve neck or back pain
It interferes with your assessment of the airway
When a light is shone into the pupil:
It should become smaller in size
Which of the following is NOT a symptom of a concussion? -Headache - Muscle tremors - Dizziness - Visual changes
Muscle tremors
A 6 year-old female was riding her bicycle and struck a clotheslines with her throat. She is breathing, but with obvious difficultly. Your assessment reveals a crackling sensation in the soft-tissues of her neck and facial cyanosis. In addition to the appropriate airway management the intervention that will MOST likely improve her chance of survive is:
Rapidly transporting her to the hospital
What part of the nervous system controls the body's voluntary activities?
Somatic
During your primary assessment of a 19-year-old unconscious male who experienced severe head trauma, you note that his respirations are rapid, irregular, and shallow. He has bloody secretions draining from his mouth and nose. You should:
Suction his oropharynx for up to 15 seconds
When stabilizing a large foreign object in the eye, you should first cover the eye with a moist dressing then. .
Surround the object with a doughnut-shaped collar made from gauze
A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should
Transport her to the emergency department.
If your patient swallows blood following facial trauma, there is an increase risk of _____
Vomiting
Helmets must be removed in all of the following cases EXCEPT: - When the helmet allows for excessive movement - When there are no impending airway or breathing problems - When a shield cannot be removed for access to the airway - When cardiac arrest is involved
When there are no impending airway or breathing problems.
